Escherichia coli ST410, where the lineage is similar to the global pandemic ESBL
E. coli lineage ST131, is emerging as new international high-risk clones.
1 It is an extraintestinal pathogen associated with resistance to fluoroquinolones, third-generation cephalosporins and carbapenems. Equipped with enhanced pathogenicity,
E. coli ST410 can cause severe and/or recurrent infections, including patient-to-patient transmission causing hospital outbreaks.
2 While it has been reported that in Asia carbapenem-resistant
E. coli ST410 was isolated as the causative pathogen of infections in patients of Sichuan hospitals in China and in Singapore,
2,3 there is no report of this carbapenem-resistant
E. coli ST410 arising from the natural water environment in Asia, which is an important aspect in the One Health perspective. The One Health perspective recognizes that the health of humans, domestic and wild animals, plants and the wider environment (including ecosystems) are closely linked and interdependent, and collaborative effort is needed to attain optimal health for all sectors. To this end, we have found a carbapenem resistant
E. coli ST410 strain SrichA-1 with a
blaNDM-5-bearing plasmid pSGNDM-5, isolated from reservoir water in Singapore (BioSample accession: SAMN18579051; SRA: SRP313016). A circular plasmid map of pSGNDM-5 was obtained by long-read next-generation sequencing (PacBio RS II) and a deep genetic investigation was applied.